Pbs is also called interstitial cystitis (ic). It is a chronic condition of the bladder that causes pain in the pelvis and low abdomen. The exact cause is unknown but seems to have some correlation with endometriosis and is more common in women. There is a lot of research by urogynecology and urology trying to better understand what causes it and how to treat it. Diet has an impact on severity.
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2

Diet and fluids:
and probiotics seem to help if patient is compliant. Eat a high fi=ber diet, regular meal times and portions and drink 80-100 oz of caffeine free, alcohol free fluid daily
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6

Not exactly...:
Irritable bowel syndrome is persistent bowel distress in the ABSENCE of a known physiologic cause. If your Sjogren's is the cause of your GI symptoms then by definition it is NOT IBS. It is bowel symptoms due to Sjogren's. Certainly Sjogren's can make existing IBS worse.
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8

R/O IBS:
IBS is a diagnosis of exclusion. IUC/CROHNS DZ/IBD is inflammation usually DX by BX IBS SX can be managed .You need a full exam and blood work. Especially screen for H pylori . Also stool screen x 3 for occult blood /parasite/ &colonoscopy./EGD While you are getting these items checked out you should stick to a gluten free diet . Ie gutbliss.com and Wholeapproach.TX: PROBIOTICS/LEVSIN/BENTYL
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10

With supervision:
The key is to have amitryptiline supervised by your doc. He/she will need to potentially monitor your heart rhythm and to counsel you against the potential side effects of the medication, which can include constipation, dry mouth, and dry eyes. However, if it is working, then it is potentially a good long-term medication. If it is not helping after 3 months, you should stop it.
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The gastrointestinal tract starts at the mouth, travel down the tunnel (esophagus), which connects to the stomach, which then empties into the duodenum, jejunum, and ileum---the three parts of the small intestine (@25 feet). This empties into the colon or large intestine (about 5 feet), which then becomes the sigmoid colon, rectum and out the anus. So, every morsel eaten goes on long journey.
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Irritable bowel syndrome, also known as IBS, is a long-term disorder of gastrointestinal functioning. It results in abdominal discomfort, pain, bloating, stomach cramps, diarrhea, and constipation. Additionally, patients with IBS usually have problems with gut motility. Triggers for IBS include certain foods, and elevated stress levels. Lastly, symptoms of IBS usually improve with defecation.
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